Kokyu to Junkan Volume 49, Issue 10 (October 2001)
Japanese

Early and Long-term Results of Cardiac Valve Re-replacement in 217 Patients Shin Uchikawa 1 , Masaya Kitamura 1 , Satoru Noji 1 , Shigeyuki Aomi 1 , Masahiro Endo 1 , Hitoshi Koyanagi 1 1Department of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women's Medical University Keyword: 再弁置換術 , 米国胸部外科学会(STS/AATS 1996年)ガイドライン , 弁膜症手術 , valve re-replacement , STS/AATS guideline 1996 , cardiac valve surgery pp.1009-1013
Published Date 2001/10/15
DOI https://doi.org/10.11477/mf.1404902366
  • Abstract
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 Background and method : From 1980 to 1996, 217 patients were operated on for valve re-replacement. Using the STS/AATS guidelines of 1996, we compared the early and long-term results of the aortic valve (Group A), mitral valve (Group M) and double (aortic and mitral) valve re-replacement (Group D). Group A consisted of 36 cases, Group M consisted of cases 149 and Group D consisted of 32 cases.

 Results: Early deaths occurred in 6 cases (2.8%). 1 patient was from group A (2.8%), 4 patients were from group M (2%) and 1 patient was from group D (6.3%). The causes were valve malfunction 4(2.3%), valve endocarditis 1(1.3%) and valve thrombosis 1(1.3%) patient. The linealized incidences of valve malfunction, valve endocarditis, valve thrombosis, anticoagulationrelated hemorrhage in Group A/M/D were 1.93/0.65/0, 0.48/0.11/0, 0.48/0.99/1.82, 0/0.22/1.82%/pt-yr. The Group A/M/D's actual survival, re-re-operation-free, thromboembolism-free and freedom from all valverelated events at the 8th postoperative year were 67.4±9.3/76.6±4.1/71.4±9.0, 100,92.0±2.5/100, 94.4±5.4/ 93.4±2.3/91.5±5.9, 69.8±8.7/67.7±4.3/64.8±9.3% respectively. There was no significant difference between each group.


Copyright © 2001, Igaku-Shoin Ltd. All rights reserved.

基本情報

04523458.49.10.jpg
呼吸と循環
49巻10号 (2001年10月)
電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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